Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engage in meaningful work that ensures compliance and enhances billing accuracy
- Chance to develop and implement training programs for healthcare providers
- Work with advanced auditing software and medical management systems

What to Expect (Job Responsibilities):
- Conduct physician coding/documentation audits for compliance with E&M, CPT, ICD-10-CM, and other billing regulations
- Analyze audit findings and summarize results for the Physician Billing Compliance Services central database
- Participate in audit conferences with representatives of the employer
- Identify training needs through the audit process and conduct remedial training as necessary
- Assist with the development of policies and procedures in line with the employer’s Billing Compliance Plan

What is Required (Qualifications):
- 2 years of experience in medical billing
- 4 years of experience in medical coding (procedural and diagnosis) for multi-specialty providers
- 3 years of experience with Medicare, Medicaid, and Tricare payment and reimbursement rules
- 3 years of experience in medical record chart auditing for professional billing
- High School Diploma or GED

How to Stand Out (Preferred Qualifications):
- 1 year of experience with medical management information systems (EPIC preferred)
- 1 year of experience with auditing software applications (e.g., MDaudit, Compliance Risk Analyzer)
- Associate's degree in business or healthcare-related field
- Certification as a Certified Coding Specialist or Certified Professional Coder
- Certification as a Certified Professional Medical Auditor (CPMA) within 6 months of hire

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